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Personified Embodiment Coaching Application
Hello lovely human! I'm really excited that you and your body are interested in working with me, and I'd love to know a bit more about you before we begin.
Please fill out this brief application to the best of your ability.
You will receive a response from me via email within 48 (business) hours
with next steps.
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Full name
*
Your answer
Pronouns (optional)
Your answer
What's your email?
*
Your answer
Please tell me a bit about how you found this program and your familiarity with my work + methodology of Personified Embodiment (i.e., you've already completed my course, you heard me on a podcast, you were directly referred, etc.)
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Your answer
What are the primary desires coming up in your body that you most want to experience from our work together?
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Your answer
Is there anything coming up in your body that is causing you anxiety or fear about our work together?
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Your answer
Do you have the desire and ability to invest in this coaching program?
This program is a time commitment of 16 sessions and a financial commitment of $4800 ($1200/ month). It's important that you recognize the value of our mutual investment in working together.
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Yes
No
Anything else you'd like for me to know?
Your answer
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